Confiabilidade da Pediatric PIV Infiltration Scale na versão brasileira

Abstract

The use of Peripheral Venous Catheters (PVC) in children becomes challenging due to specificities. Complications caused by PVC are common in pharmacological treatment, resulting in vessel injury, such as occlusion, infiltration or extravasation. Therefore, the importance of assessment instruments in clinical practice, to identify injuries early. The instruments must be subjected to validation and accuracy tests for implementation in clinical nursing practice. The objective was to evaluate the properties of the Pediatric PIV Infiltration Scale in the Brazilian version. Psychometric study of reliability analysis. The research setting was the Albert Sabin Children's Hospital, located in Fortaleza/CE, from September to December 2023. The sample consisted of 60 children under 12 years of age. The occurrence of infiltration was assessed by the Pediatric PIV Infiltration Scale in the Brazilian version, in which the scale application was performed by the research nurse and the assistant nurse, to observe and record the degree of injury resulting from the infiltration. Statistical analyses were performed using the IBM® SPSS® Statistics 29 program. The means and standard deviations of the quantitative variables were calculated. Inter-rater reliability was verified by Cronbach's Alpha and Pearson's Correlation Coefficient. The project was approved by the Research Ethics Committee of the local institution of the study, no. 68384623.0.3001.5042. The results indicated that most patients were between 1 and 48 months of age (27; 51%), male (29; 54,7%). Regarding the PVC, the longest permanence time was on average zero to three days and regarding its location, the majority were located in the dorsal arch of the UULL 20 (33,3%) and UULL 18 (30%). The reasons for PVC removal were local complications, with 63.32% due to infiltration. Regarding evaluator 1, it was observed that grades 1 and 2 were the most prevalent and, in relation to evaluator 2, grade 1 was more recurrent. The values of the internal consistency degree of the scale were evaluated by Cronbach's α coefficient of 0.9377 and Pearson's demonstration coefficient of 0.8828. The p values for evaluator 1, related to the degrees of infiltration with the child's variables, were significant and in the other underlying and renal diseases with grade 2. Evaluator 2, in relation to the degrees of infiltration with the child's variables, were significant, in relation to the child's sex with grade 1 and 2. The use of an infusion pump was associated with grades 1 and 3 and the length of hospital stay with grade 2. It was concluded that the Pediatric PIV Infiltration Scale is a reliable tool for identifying and classifying signs of infiltration, related to peripheral intravenous therapy and allows its use by nurses in care, causing damage resulting from complications that cause tissue injuries.